FDA Adverse Event
Malfunction
Summary report: N
PANORAMA CENTRAL STATION/TELEPACK
MDR report key: 3091586
·
Received April 30, 2013
Report
- Report Number
- 2221819-2013-00159
- Event Type
- Malfunction
- Date Received
- April 30, 2013
- Date of Event
- August 21, 2012
- Report Date
- April 30, 2013
- Manufacturer
- MINDRAY DS USA, INC.
- Product Code
- MHX
- PMA / PMN Number
- 031760
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OH, US
- Reporter Occupation
- UNKNOWN
Narratives
Additional Manufacturer Narrative · 1
CUSTOMER WAS ADVISED TO CONTACT MINDRAY SERVICE FOR FURTHER INVESTIGATION. THE SYSTEM ANTENNA MAY HAVE BEEN THE CAUSE OF THE ERROR AND THE CUSTOMER SUBSEQUENTLY REPLACED THE ANTENNA. (B)(4).
Description of Event or Problem · 1
CUSTOMER REPORTED A TELEPACK WOULD NOT DISPLAY AT THE PANORAMA CENTRAL STATION RESULTING IN A POSSIBLE LOSS OF AMBULATORY TELEMETRY MONITORING. NO PATIENT INJURY WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 187388 | PANORAMA CENTRAL STATION/TELEPACK | CENTRAL STATION MONITOR | MHX | MINDRAY DS USA, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |